Optical coherence tomography of the neurosensory retina in rhegmatogenous retinal detachment

Hagimura, Norikazu; Suto, Katsuya; Iida, Tomohiro; Kishi, Shoji

doi:10.1016/s0002-9394(99)00314-1

Cited by 97 publications

(68 citation statements)

References 3 publications

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“…3,[13][14][15] Friberg and Eller 15 found that stronger correlation can be found if a potential acuity meter is used to measure preoperative vision, perhaps because this removes the confounding effect of the refractive error induced by the macular detachment or because less light scatter occurs. Factors associated with poor preoperative vision that are associated with poor postoperative visual outcome in other studies are height of foveal detachment 16 and PVR. 11,14 Increased height of the retinal detachment may be associated with more degeneration of the photoreceptors.…”

Section: Statistically Significant Factors Predicting Visual Outcomementioning

confidence: 83%

“…Conversely some patients operated early and with primary anatomical success have poor visual outcome. 21 Optical coherence tomography (OCT) has shown that increased height of foveal detachment may affect visual outcome with associated increased disruption of the retina, 16,25 and that localized persisting subclinical submacular fluid may be associated with worse visual outcome when scleral buckles are used. 19 In addition intraoperative drainage of subretinal fluid may adversely affect visual acuity, 21,26 perhaps by a reperfusion injury although others have not found this effect.…”

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confidence: 99%

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How effective is macula-off retinal detachment surgery. Might good outcome be predicted?

Doyle

Herbert

Bunce

et al. 2006

Eye

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Purpose To determine factors associated with anatomical and functional outcomes of macula-off retinal detachment surgery in a modern vitreoretinal unit. Methods A retrospective casenote review of 185 patients presenting with macula-off retinal detachment was performed. Demographic and ocular characteristics were determined. Logistic regression analysis was used to determine (1) the effect of these factors on visual outcome and (2) their effect on primary and final anatomical success. Results Primary and ultimate anatomical success were achieved in 76 and 84% of cases. Patients with oil in at final follow-up were considered to be anatomical failures. Statistically significant factors predicting primary anatomical success using a multiple variable model were preoperative logMAR visual acuity, preoperative PVR and number of breaks. Preop logMAR visual acuity and duration of macular detachment were the statistically significant factors predicting ultimate success. In all, 44% of patients regained 6/12 Snellen or better with a median improvement of 0.78 logMAR. For prediction of visual outcome (in patients with no ocular comorbidity) only preoperative logMAR visual acuity achieved statistical significance (P ¼ 0.001) at the P ¼ 0.05 level. Conclusion In all, 76% of macula-off detachments may be repaired with one operation and 44% of patients regain at least 6/12 Snellen. The median logMAR acuity increment of 0.78 far exceeds that seen in cataract surgery. Preoperative visual acuity is the most important factor predicting primary and final anatomical success as well as visual outcome. Preoperative PVR, number of breaks and duration of detachment also affect outcomes.

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Section: Statistically Significant Factors Predicting Visual Outcomementioning

confidence: 83%

mentioning

confidence: 99%

How effective is macula-off retinal detachment surgery. Might good outcome be predicted?

Doyle

Herbert

Bunce

et al. 2006

Eye

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“…A recent study has demonstrated three distinct appearances of the paramacular retinal structure on OCT in rhegmatogenous retinal detachment. 46 The detached neurosensory retina may be of otherwise normal thickness and appearance, it may show intraretinal separation on either side of the fovea, or intraretinal separation may be present associated with undulation of the outer retinal layer. The latter two appearances were associated with poor best-corrected visual acuity, along with height of the detachment.…”

Section: Macular Oedemamentioning

confidence: 99%

Optical coherence tomography—a review of the principles and contemporary uses in retinal investigation

Thomas

Duguid

2004

Eye

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“…A recent publication by Hagimura et al 13 used optical coherence tomography (OCT) to study the macula in 25 patients with macula-off rhegmatogenous retinal detachments. In patients with minimal elevation of the retina at the macula, there was less disruption of the neurosensory retina.…”

mentioning

confidence: 99%

Visual recovery after macula-off retinal detachment

Ross

2002

Eye

121

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With modern surgical techniques to repair retinal detachments, a greater than 90% primary anatomic success rate can be expected. [1][2][3][4][5][6][7][8][9] Despite this high level of anatomic success, visual results remain compromised mainly because of permanent functional damage once the macula becomes detached. 10 The most important predictor of visual recovery after retinal detachment surgery is preoperative visual acuity. 8,9,11,12 Preoperative acuity appears to be directly related to the height of macular detachment. 13 Shorter duration of detachment and younger age are also important in visual recovery. This paper will review the current literature that helps to improve our understanding of visual recovery after macula-off retinal detachments.

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Optical coherence tomography of the neurosensory retina in rhegmatogenous retinal detachment

Cited by 97 publications

References 3 publications

How effective is macula-off retinal detachment surgery. Might good outcome be predicted?

How effective is macula-off retinal detachment surgery. Might good outcome be predicted?

Optical coherence tomography—a review of the principles and contemporary uses in retinal investigation

Visual recovery after macula-off retinal detachment

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